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WP0043813
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0043813
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Entry Properties
Last modified
4/17/2023 11:26:10 AM
Creation date
12/9/2022 3:12:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0043813
PE
4370
STREET_NUMBER
6154
Direction
S
STREET_NAME
MOBLEY
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
18513004
ENTERED_DATE
9/21/2022 12:00:00 AM
SITE_LOCATION
6154 S MOBLEY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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CHAIN of CUSTODY <br /> ENVI „ - Specialwww.fgUnc.eo <br /> ,` Laborato Copy (l of, �) <br /> _lllllllll ,lllllllhlill11llllilllllllllllll�ll�l�lllll� 35730:02/0512017. TEST DESCRIPTION - S 'f Reverse side for Container,PreservUtive and Sampling information <br /> k.Tient. San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dqp <br /> Water Quality Division , ,a <br /> Attn:Rodney Estrada <br /> 1868 East Hazelton Ave. <br /> s Stockton,CA 95205 (AN 'I <br /> 3 '�cx <br /> Phone: (209)468-0331 Fax: <br /> Contact Person: Rodney Estrada <br /> �L`�`� <br /> Project Name: Nva «- <br /> E- � <br /> Purchase Order Number: U w <br /> > <br /> Quote Number: ST 20160309-01 4 <br /> .. E o124 <br /> Ey <br /> Samplers) U N 0 a A <br /> Sampling Fee: Pickup Fee: c r R c. <br /> ° � = O wCompositor Setup Date: Time: zp Ez z H 2 xC <br /> c x i:. A <br /> LabNumber: STK � 3-17919 ExE- <br /> o o = F aoa' °” E= II a a <br /> ;amp Date Time �s = <br /> '0 <br /> Location Description U.S ° � � °U'Num Sampled Sampled f <br /> U4 <br /> 1 G DW <br /> 2emarks: nquish Dat Time: Re1in is d Date: Time: Re1i fished Dat: Time: <br /> eived By: Date: Time: Receiv d te: Time: Removed By: e: ` ,Ti e: <br /> 3 4 2� !7� <br /> CoEnorate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)734-9473 <br /> Env Fax:(805)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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